KENT EMERSON WALLNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013638

License Status

EXPIRED

Business

First Name

KENT EMERSON

Last Name

WALLNER

Suffix

Business Name

KENT EMERSON WALLNER MD

Original Issue Date

01/29/1982

Effective Date

01/29/1982

Expiration Date

01/20/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006